Wash. Admin. Code § 388-106-0090

Current through Register Vol. 24-09, May 1, 2024
Section 388-106-0090 - How does the CARE tool measure cognitive performance?
(1) The CARE tool uses a tool called the cognitive performance scale (CPS) to evaluate your cognitive impairment. The CPS results in a score that ranges from zero (intact) to six (very severe impairment). Your CPS score is based on information given at your assessment and documented in the CARE tool:
(a) Whether you are comatose.
(b) Your ability to make decisions, as defined in WAC 388-106-0010 " Decisions."
(c) Your ability to make yourself understood, as defined in WAC 388-106-0010 "Ability to make self understood."
(d) Whether you have short-term memory problem (e.g. can you remember recent events?) as determined by the following:
(i) Information given at your assessment and documented in the CARE tool showed there is evidence that you have short-term memory loss; or
(ii) You could not recall at least one of the three words you were asked to recall during the mini mental status exam completed during your assessment using the CARE tool; and
(e) Whether you score as total dependence for self-performance in eating, as defined in WAC 388-106-0010 "Self-performance of ADLs."
(2) You will receive a CPS score of:
(a)Zero when you do not have problems with decision-making ability, making yourself understood, or recent memory.
(b)One when you meet one of the following:
(i) Decisions are scored as difficulty in new situations or poor decisions/unaware of consequences as defined in WAC 388-106-0010;
(ii) Your ability to make yourself understood is scored as usually, sometimes, or rarely/never understood as defined in WAC 388-106-0010; or
(iii) You have a short-term memory problem.
(c)Two when you meet two of the following:
(i) Decisions are scored as difficulty in new situations or poor decisions/unaware of consequences as defined in WAC 388-106-0010;
(ii) Your ability to make yourself understood is scored as usually, sometimes, or rarely/never understood; and/or
(iii) You have a short-term memory problem or delayed recall.
(d)Three when you meet at least two of the criteria listed in subsection (2)(b) of this section and one of the following applies:
(i) Decisions are scored as poor decisions/unaware of consequences as defined in WAC 388-106-0010; or
(ii) Your ability to make yourself understood is scored as sometimes or rarely/never understood as defined in WAC 388-106-0010.
(e)Four when both of the following criteria applies:
(i) Decisions are scored as poor decisions/unaware of consequences as defined in WAC 388-106-0010; and
(ii) Decisions are scored as sometimes or rarely/never understood as defined in WAC 388-106-0010.
(f)Five Decisions are scored as no/few decisions as defined in WAC 388-106-0010.
(g)Six when one of the following applies:
(i) Decisions are scored as no/few decisions and you require total dependence in eating as defined in WAC 388-106-0010; or
(ii) You are comatose.

Wash. Admin. Code § 388-106-0090

Amended by WSR 20-23-124, Filed 11/18/2020, effective 12/19/2020

Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0090, filed 5/17/05, effective 6/17/05.